Active NPI
Salvatore Dimercurio MD PA
- Plastic Surgery Physician
- Hagerstown, MD
National Provider Identifier
1245419332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- Legal business name
- SALVATORE DIMERCURIO MD PA
- Practice address
- 11110 Medical Campus Rd
Suite 241
Hagerstown, MD 21742-6700 - Phone
- (301) 714-4460
- Fax
- (301) 714-4461
- NPI assigned
- Oct 25, 2007
- Last updated
- Nov 21, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Salvatore Dimercurio, MD
- Title
- President
- Phone
- (301) 714-4460
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | NU | Primary |
Addresses
Primary practice location
11110 Medical Campus Rd
Suite 241
Hagerstown, MD 21742-6700
Mailing address
11110 Medical Campus Rd
Suite 241
Hagerstown, MD 21742-6700
Phone (301) 714-4460
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Plastic and Reconstructive Surgery Physician
- Hagerstown, MD
- NPI 1578505798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193270400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1195603200000",
"number": "1245419332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11110 MEDICAL CAMPUS RD",
"address_2": "SUITE 241",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217426700",
"telephone_number": "301-714-4460",
"fax_number": "301-714-4461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11110 MEDICAL CAMPUS RD",
"address_2": "SUITE 241",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217426700",
"telephone_number": "301-714-4460",
"fax_number": "301-714-4461"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SALVATORE DIMERCURIO MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-25",
"last_updated": "2007-11-21",
"status": "A",
"authorized_official_last_name": "DIMERCURIO",
"authorized_official_first_name": "SALVATORE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "301-714-4460",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hagerstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.